Individual provider Active NPI

Jessica M Priode, PC

  • Professional Counselor
  • Ironton, OH
National Provider Identifier
1194966838
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0700379-SUPV Issued in OH
Practice address
1518 S 3Rd St
Ironton, OH 45638-2140
Phone
(740) 532-7855
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C0700379 OH
Professional Counselor 101YP2500X E.0700379-SUPV OH Primary

Addresses

Primary practice location

1518 S 3Rd St
Ironton, OH 45638-2140

Mailing address

1518 S 3Rd St
Ironton, OH 45638-2140
Phone (740) 532-7855

Other identifiers 1

IdentifierTypeStateIssuer
09425MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0700379OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Sep 12, 2024 Accepting new patients
Family Guidance Center Past Accepting new patients
Il-Cao Family Guidance Center Past Accepting new patients

Locations

2752 Erie Ave
Cincinnati, OH 45208
Phone (513) 871-0290

2752 Erie Ave
Ste 5
Cincinnati, OH 45208
Phone (513) 781-5900

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDDBD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1194966838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382140",
            "telephone_number": "740-532-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382140",
            "telephone_number": "740-532-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIODE",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0700379",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0700379-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.